holiday stress

We often believe that during holidays everyone, except us, is having a wonderful festive time, surrounded by loving family, caring friends, filled with fun, festivity and happiness.

At the risk of “bah humbug” what I most often heard from clients was holidays were filled with stress, trepidation, family feuds or deep pain at being alone while everyone else seemingly was partying.

Coupled with studies which suggest that the Christmas/New Year’s holidays are a risk factor for cardiac and noncardiac mortality.* the United Kingdom study on loneliness and isolation of 6,500 had an interesting conclusion:

Loneliness hurts, but social isolation can kill you.

“The study, by a team at University College London, comes after decades of research showing that both loneliness and infrequent contact with friends and family can, independently, shorten a person’s life. The scientists expected to find that the combination of these two risk factors would be especially dangerous.”

“We were thinking that people who were socially isolated but also felt lonely might be at particularly high risk,” says Andrew Steptoe, a professor of psychology at University College London.”

“To find out, the team studied 6,500 men and women ages 52 and older. All of them had answered a questionnaire back in 2004 or 2005 that assessed both their sense of loneliness and how much contact they had with friends and family. The researchers looked to see what happened to those people over the next seven or eight years.”

“And Steptoe says he was surprised by the result. “Both social isolation and loneliness appeared initially to be associated with a greater risk of dying,” he says. “But it was really the isolation which was more important.”‘

‘”At first, it looked like people who reported greater levels of loneliness were more likely to die, Steptoe says. But closer analysis showed that these people were also more likely to have other risk factors, like being poor and having existing health problems. Once those factors were taken into account, the extra risk associated with loneliness pretty much disappeared, Steptoe says.”‘

“But people who spent very little time with friends and family, or at social events, were more likely to die regardless of income or health status the team reports in the Proceedings of the National Academy of Sciences.”

“It’s not clear why social isolation is linked to mortality. But one possibility is that having other people around has practical benefits as you get older, Steptoe says. For example, they may push you to go see a doctor if you are having symptoms like chest pain, he says. And if you were to lose consciousness, they would call for help.”

Do Facebook friends count? How about texting?

“Other researchers say they are surprised and not necessarily convinced by the new study, even though they say it’s large and well-done.”

‘”It doesn’t negate the loneliness work that’s been done to date,” says Bert Uchino, a University of Utah psychology professor. He says this study may have reached a different conclusion than earlier ones because people’s definition of loneliness is changing in the Internet age.”‘

‘”People … may think that they’re connected to other people because they’re on Facebook,” Uchino says. So they may not report feeling lonely. But that sort of connection, he says, may not have the health benefits of direct contact with other people.”

The rosy pictures of family harmony is ever-present in the media during holiday season.

As therapists we were privy to the fact that holidays are stressful and often bring out the worst in family and interpersonal relationships.

Clients who had no family fantasized about what they were missing and clients with families fantasized about how to miss family gatherings.

Family Dynamics by Peggy

It’s gratifying to know we were on track with how we approached client holiday stress & strain. The research bears this out:

It is not helpful to ruminate on what was, what could be, ruminate over and over about the hurt, anger, injustice of it all. Rumination leads to depression and/or anxiety.

It’s best to tell the “tale” once, focus on what hasn’t worked and find new ways to cope.

Here’s a synopsis of the research and article:

Family Arguments Over The Holidays? Replaying Them in Detail May Be the Best Way to Cope

“Repeated studies have found that people prone to depression can get worse if they excessively dwell or ruminate on a stressful incident such as a quarrel or a loss. But experiments by Exeter University psychologists have found that when individuals practised running emotional incidents through their head, focusing on sensory details and recalling exactly what happened, how it happened, and even where it happened, it helped them respond constructively and stopped them becoming so upset about a future or past stressful experience.”

“Psychologists at the University of Exeter have found that recalling the detail of shouting matches and disagreements, including exactly who said what to whom and how, may not be destructive and prolong the tension, but could help people keep incidents in perspective and stop the triggering of self-doubt and even depression.”

“After training to recall the details of an upsetting incident including the tone of a voice, the words used and how the event happened, people became more resilient and put the upsetting incident into context, stopping a downward spiral into low mood.”

“The same exercise of focusing on the sensory details of sad experiences and asking “How did it happen?” “How can I do something about it?” was also found to speed up recovery from doing badly on a test in undergraduates, and to improve interpersonal problem solving, such as finding a way to make up with your partner after an argument, in people who were currently or formerly depressed.”

“For people experiencing depression learning to focus on stressful incidents and to re-imagine them in full technicolour asking themselves ‘What is unique about this situation?’ ‘ How did it happen?’ – instead of ‘Why did it happen to me? had an a ‘significant’ impact on helping to alleviate mental ill health.”

Then again, one way to avoid all the holiday tension is to eat out or . . . leave town.